Birmingham
Independent Healthcare Org · West Midlands
Overall Rating
Last inspected 13 November 2023
Domain Ratings
Safe
Effective
Caring
Responsive
Well-led
9 should-do actions
Should-Do Actions (9)
Recommended improvements to enhance service quality.
Should Do
Safe
The service should ensure infection prevention and control systems provide assurance of safety and meet national best practice standards. Regulation 12.
Should Do
Safe
The service should ensure staff manage the risks of domestic electrical equipment. Regulation 15.
Should Do
Safe
The service should consider how to better manage clinical waste disposal when both theatres are in use. Regulation 15.
Should Do
Safe
The service should ensure air purifiers in surgical theatres are fit for purpose in the areas installed. Regulation 15.
Should Do
Responsive
The service should ensure the new complaints manager improves the breadth and depth of learning from complaints. Regulation 16.
Should Do
Responsive
The service should ensure the independent adjudication process is clearer and more readily accessible. Regulation 16.
Should Do
Responsive
The service should ensure delays and disruption to clinics are consistently managed and communicated to patients. Regulation 17.
Should Do
Well-led
The service should ensure improvements to clinical governance, quality assurance, and risk management continue to be developed and are fully embedded in the service. Regulation 17.
Should Do
Well-led
The service should ensure that use of CCTV in the clinic meets national information management standards. Regulation 17.
Location Details
CQC ID: 1-10808926160
Local Authority: Birmingham
Region: West Midlands
Inspection Report
Type: Comprehensive inspection
Date: 13 November 2023
Rating: Requires Improvement
Actions:
9 should-do
AI-extracted 17 Feb 2026